VP, RCM Operations

Job Description:

The Vice President, Revenue Cycle Management (RCM) is a strategic executive responsible for leading the organization's revenue cycle operations, driving financial performance, and overseeing technology-enabled transformation. This leader will develop and execute the operational strategy for RCM, aligning systems, processes, and digital capabilities with organizational goals to improve operational efficiency, scalability, and client outcomes. The Vice President will provide executive oversight across Revenue Cycle Management functions, leading large-scale transformation and automation initiatives while fostering a culture of innovation, continuous improvement, and operational excellence. This role is accountable for ensuring the successful delivery of contractual obligations, client Service Level Agreements (SLAs), regulatory compliance, and key business performance metrics through effective leadership, cross-functional collaboration, and strategic vendor partnerships.

• Develop and maintain effective relationships with offshore vendor leaders and other internal leaders to ensure Service Level Agreements (SLAs) and business metrics are being met.
• Lead strategic and operational initiatives to drive accountability based on data driven analysis and market intelligence.
• Oversee offshore partners/vendors and stateside resources to ensure their accountability for contracted deliverables.
• Direct and coordinate a wide variety of program activities and oversee all phases and implementation of programs and initiatives; plan and develop methods, policies, and procedures for assigned programs.
• Develop, prioritize, implement, and execute a wide variety of business processes to support continuous improvement initiatives and support RCM’s core operations.
• Review reports and records of activities to ensure progress is being accomplished toward specified program objectives; modify or change methodology as needed to redirect activities and attain objectives.
• Identify continuous improvement opportunities and collaborate with functional leaders and cross-functional teams to implement solutions.
• Supervise management team to ensure each functional area operates in compliance with all applicable laws, regulator considerations, policies, and procedures which govern proper medical conduct, medical billing, and healthcare. Handle escalations as needed or when/if violations in compliance are identified.
• Manage technical and operational training program deliverables for assigned staff within the functional area.
• Ensure onboarding and ongoing training programs meet the needs of the employees and drives effective and efficient results in the division.
• Partner with company-wide Staff Development team to define where handoff of services takes place to ensure seamless integration.
• Manage SLAs, performance, and quality of service for outsourced partners through developed criteria, applied metrics, and reporting.
• Oversee the development and analysis of statistical data, metrics, and specifications to determine present standards and establish proposed quality and reliability expectancy.
• Partner with the organization’s Senior Management team and peers to effectively drive efficient and cost-effective services levels.
• Partner with other functional and operational leaders to champion and drive continuous improvement, compliance, and training initiatives.
• Perform other duties that support the overall objective of the position.
   

Education Required:

• Bachelor’s degree in Business or related discipline.
• Or, any combination of education and experience which would provide the required qualifications for the position.

Experience Required:

• 12+ years of experience in Revenue Cycle Management, Healthcare, or similar experience.
• 8+ years of experience working with multiple levels of leaderships within a healthcare environment.
• Or, any combination of education and experience which would provide the required equivalent qualifications for the position.

Knowledge, Skills & Abilities:

• Knowledge of: Knowledge of Revenue Cycle Management best practices. Knowledge and understanding of business processes and drivers for large providers. Knowledge and understanding of contract negotiations. 
• Skill in: Leadership, executive level communication and presentation skills, negotiation, strategic and analytical.
• Ability to: Leverage best practices to identify and ensure customer needs and opportunities to improve internal practices and efficiencies; manage and establish credibility within an organization; demonstrate supportive cross-functional relationships with peers, clients, partners, and management; oversee and balance multiple competing priorities; manage multiple high-level projects and teams through delegation and empowerment of new and upcoming leaders; cultivate relationships and develop/coach team members to further their leadership and managerial skills; execute large, cross-functional processes and initiatives; establish a productive team-based work environment and collaborate effectively across multiple functional areas; influence others to perform their jobs effectively and to be responsible for making decisions.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employee's ability to perform the position described. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. This document does not represent a contract of employment, and the company reserves the right to change this job description and/or assign tasks for the employee to perform, as the company may deem appropriate.

NextGen Healthcare is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.